Organization · Type 2 NPI

Ida Mae Dental Clinic

Dental Clinic/Center · Chicago, IL

NPI number 1750899282 Active

Practice location

8941 S Western Ave
Chicago, IL 60643-6432

Call (773) 951-5650 Map

Mailing address

8408 S Sangamon St
Chicago, IL 60620-3211

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X019-025956 (IL)

Dental Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1750899282

Ida Mae Dental Clinic's National Provider Identifier is 1750899282, issued on Jan 18, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jan 18, 2018.